A Systematic review of sexual and reproductive health needs, experiences, access to services, and interventions among the rohingya and the afghan refugee women of reproductive age in Asia.

Hossain, MA; Dawson, A

A Systematic review of sexual and reproductive health needs, experiences, access to services, and interventions among the rohingya and the afghan refugee women of reproductive age in Asia.

Hossain, MA Dawson, A

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Publisher:: Medknow
Publication Type:: Journal Article
Citation:: WHO South East Asia J Public Health, 2022, 11, (1), pp. 42-53
Issue Date:: 2022

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Field	Value	Language
dc.contributor.author	Hossain, MA
dc.contributor.author	Dawson, A https://orcid.org/0000-0003-0926-2202
dc.date.accessioned	2023-01-19T01:23:41Z
dc.date.available	2023-01-19T01:23:41Z
dc.date.issued	2022
dc.identifier.citation	WHO South East Asia J Public Health, 2022, 11, (1), pp. 42-53
dc.identifier.issn	2224-3151
dc.identifier.issn	2304-5272
dc.identifier.uri	http://hdl.handle.net/10453/165171
dc.description.abstract	INTRODUCTION: Approximately 9.2 million refugees live in Asia, with most originating from Afghanistan and Myanmar, and half of them are women, girls, and children. Humanitarian crises disrupt the existing health-care system, limiting access to sexual and reproductive health (SRH) services. This review explores the SRH status of Afghan and Rohingya refugee women of reproductive age in Asia and their needs and experiences in accessing these services and commodities. MATERIALS AND METHODS: We used the PRISMA checklist and searched for qualitative and quantitative peer-reviewed studies from five online bibliographic databases, SCOPUS, EMBASE (Ovid), MEDLINE (Ovid), CINAHL, and PROQUEST, from January 2000 to April 2021. Content analysis was undertaken following the minimum initial service package objectives. RESULTS: Fifteen studies were included in this review from four countries: Bangladesh (5), Pakistan (5), Iran (4), and Malaysia (1). Approximately 50.91% of Rohingya and 54% of Afghan refugee women used contraceptives. About 56.6% of Afghan refugee mothers experienced pregnancy-related complications, one-third received antenatal care, and low birth weight was 2.6 times higher among infants born to Afghan refugee mothers than to Pakistani-born mothers. One out of five Rohingya women received delivery-related care. Approximately 72% of Rohingya and 79.8% of Afghan refugee women had experienced gender-based violence, and 56.5% of Rohingya women engaged in unwanted sexual intercourse with their husbands. CONCLUSION: Social norms, stigma, cultural values, distrust of providers, inadequate staff, and prohibition by family members limit their access to SRH services and influence their needs, knowledge, and perceptions regarding SRH.
dc.format	Print
dc.language	eng
dc.publisher	Medknow
dc.relation.ispartof	WHO South East Asia J Public Health
dc.relation.isbasedon	10.4103/WHO-SEAJPH.WHO-SEAJPH_144_21
dc.rights	info:eu-repo/semantics/openAccess
dc.subject.mesh	Child
dc.subject.mesh	Infant
dc.subject.mesh	Female
dc.subject.mesh	Humans
dc.subject.mesh	Pregnancy
dc.subject.mesh	Male
dc.subject.mesh	Refugees
dc.subject.mesh	Reproductive Health
dc.subject.mesh	Sexual Behavior
dc.subject.mesh	Reproductive Health Services
dc.subject.mesh	Asia
dc.subject.mesh	Humans
dc.subject.mesh	Sexual Behavior
dc.subject.mesh	Pregnancy
dc.subject.mesh	Child
dc.subject.mesh	Infant
dc.subject.mesh	Refugees
dc.subject.mesh	Reproductive Health Services
dc.subject.mesh	Asia
dc.subject.mesh	Female
dc.subject.mesh	Male
dc.subject.mesh	Reproductive Health
dc.title	A Systematic review of sexual and reproductive health needs, experiences, access to services, and interventions among the rohingya and the afghan refugee women of reproductive age in Asia.
dc.type	Journal Article
utslib.citation.volume	11
utslib.location.activity	India
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Strength - WHO CC
utslib.copyright.status	open_access	*
dc.date.updated	2023-01-19T01:23:40Z
pubs.issue	1
pubs.publication-status	Published
pubs.volume	11
utslib.citation.issue	1

Abstract:

INTRODUCTION: Approximately 9.2 million refugees live in Asia, with most originating from Afghanistan and Myanmar, and half of them are women, girls, and children. Humanitarian crises disrupt the existing health-care system, limiting access to sexual and reproductive health (SRH) services. This review explores the SRH status of Afghan and Rohingya refugee women of reproductive age in Asia and their needs and experiences in accessing these services and commodities. MATERIALS AND METHODS: We used the PRISMA checklist and searched for qualitative and quantitative peer-reviewed studies from five online bibliographic databases, SCOPUS, EMBASE (Ovid), MEDLINE (Ovid), CINAHL, and PROQUEST, from January 2000 to April 2021. Content analysis was undertaken following the minimum initial service package objectives. RESULTS: Fifteen studies were included in this review from four countries: Bangladesh (5), Pakistan (5), Iran (4), and Malaysia (1). Approximately 50.91% of Rohingya and 54% of Afghan refugee women used contraceptives. About 56.6% of Afghan refugee mothers experienced pregnancy-related complications, one-third received antenatal care, and low birth weight was 2.6 times higher among infants born to Afghan refugee mothers than to Pakistani-born mothers. One out of five Rohingya women received delivery-related care. Approximately 72% of Rohingya and 79.8% of Afghan refugee women had experienced gender-based violence, and 56.5% of Rohingya women engaged in unwanted sexual intercourse with their husbands. CONCLUSION: Social norms, stigma, cultural values, distrust of providers, inadequate staff, and prohibition by family members limit their access to SRH services and influence their needs, knowledge, and perceptions regarding SRH.

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http://hdl.handle.net/10453/165171